HomeMy WebLinkAbout232888 05/21/14 CITY OF CARMEL, INDIANA VENDOR: 366480
ONE CIVIC SQUARE POMP'S TIRE CHECK AMOUNT: $'*""""381.32"
CARMEL, INDIANA 46032 ATTN:AR DEPARTMENT CHECK NUMBER: 232888
PD Box 1630 CHECK DATE: 05/21/14
GREEN BAY WI 54305-1630
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4232000 830032872 203.54 TIRES & TUBES
601 5023990 910018761 177.78 OTHER EXPENSES
SHPN577317987
POMP'S TIRE-LEBANON INVOICE #: 830032872
1316 WEST SOUTH STREET
PAGE: 1
LEBANON, IN 46052
765/482-4359
CUSTOMER: CITY OF CARMEL STREET DEP
2264 3400 W 131ST STREET
CARMEL, IN
46074
CREATED BY SBR
FAX NUMBER: 3177332005
WORK: 317/733-2001 0
SALESMAN: MICHAEL S RUMMEL
INVOICE DATE: 05/16/14 TERMS: 1 PMT DUE 10TH OF MON AFTR INV
-------------------------------------------------------------------------------
PRODUCT MECHANIC QUANTITY PRICE F.E.T. EXTENSION
-------------------------------------------------------------------------------
24/1200-12/4 CARLISL TURF MAST 2 101. 52 203.04
511C409
TIRE USER FEE - IN 2 .25 0. 50
95OL13
MERCHANDISE: 203.04
OTHER: 0. 50
INVOICE TOTAL: 203. 54
ON ACCOUNT A/R 203. 54
THANK YOU FOR YOUR BUSINESS! M
Printed Name signature
LUG NUTS MUST BE RE-TORQUED AFTER 50-100 MILES.
Page 1
Prescribed by State Board of Accounts City Form No.201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
05/16/14 830032872 $203.54
1 hereby certify that the attached invoice(s), or bill(s), is (are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Pomp's Tire Service, Inc.
A/R Department IN SUM OF $
p. O. Box 1630
Green Bay, WI 54305-1630
$203.54
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
2201 I 830032872 1 42-320.001 $203.54 1 hereby certify that the attached invoice(s), or
i bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Fri May 16 2014
JA
VAIW
StrWe%RWR@f er
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
SHPN577312454
POMP'S TIRE-LAFAYETTE INVOICE #: 910018761
2700 SCHUYLER AVE
LAFAYETTE, IN 47905 PAGE: 1
765/742-4000
CUSTOMER: CITY OF CARMEL WATER OPER SHIP TO: DELIVERED VIA S. RUMMEL
2266 3450 W 131ST STREET
CARMEL, IN
46074
CREATED BY DBL
REF NUMBER: SHANE
FAX NUMBER: 3177332053
WORK: 317/733-2855 0
SALESMAN: MICHAEL S RUMMEL
INVOICE DATE: 05/07/14 TERMS: 1 PMT DUE 10TH OF MON AFTR INV
-- ------------------------------------------
PRODUCT MECHANIC QUANTITY PRICE F.E.T. EXTENSION
-------------------------------------------------------------------------------
P225/60TR16 H727 2 88.64 177.28
100H6121
TIRE USER FEE - IN 2 .25 0. 50
950L13
Registration: Serial# T7BMDMH4413 Quantity 2
MERCHANDISE: 177.28
OTHER: 0. 50
INVOICE TOTAL: 177.78
ON ACCOUNT A/R 177. 78
Printed Name signature
LUG NUTS MUST BE RE-TORQUED AFTER 50-100 MILES.
Page 1
Prescribed by State Board of Accounts City Form No.201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show, kind of service, where
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
366480
Pomp's Tire Purchase Order No.
PO BOX 1630 Terms
GREEN BAY, WI 54305-1630 Due Date 5/9/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/9/2014 910018761 $177.78
I hereby certify that the attached invoice(s), or bill(s) is(are) true and
correct and I have audited same in accordance with IC 5-11-10-1.6
Date O cer
VOUCHER # 135068 WARRANT # ALLOWED
366480 IN SUM OF $
Pomp's Tire
PO BOX 1630
GREEN BAY, WI 54305-1630
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
910018761 01-6500-04 $177.78
Voucher Total $177.78
Cost distribution ledger classification if
claim paid under vehicle highway fund